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Individual

MR. GARY D DUCKWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPT

Contact information

Practice address
243 COLORADO AVE, ENID, OK 73701-6620
(580) 234-5072
Mailing address
243 COLORADO AVE, ENID, OK 73701-6620
(580) 234-5072

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1717
OK

Other

Enumeration date
05/30/2007
Last updated
07/08/2007
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